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Bladder Cancer Molecular Subtype Classifier

New York rates for HCPCS 0016M

Assigns a bladder cancer to a molecular subtype, describing what kind of tumor it is at the level of gene activity. It measures the activity of 219 genes in preserved tumor tissue on a microarray and reports a single subtype classification rather than a list of gene readings.

Rates data updated July 2026.

How much does Bladder Cancer Molecular Subtype Classifier cost?

$2,455

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $6,026 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,862$200 to $2,951
FacilityA hospital or hospital-owned outpatient department$6,026$3,467 to $8,128

How much rates vary

Facilitymedian $6,026 · 10th to 90th $2,818 to $9,550Professionalmedian $1,862 · 10th to 90th $200 to $3,631
$200$500$1K$2K$5K$10Kfacility $6,026professional $1,862

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,309.57
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,290.87
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,388.44
Typical High
$8,709.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$16,982.44
Typical High
$16,982.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,754.40
Typical High
$13,489.63
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$4,265.80
Typical High
$6,760.83
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$6,165.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$6,606.93
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,467.37
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,467.37
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$4,786.30
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,467.37
Typical High
$3,981.07
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,467.37
Typical High
$8,317.64

Where New York sits

The same service costs 4.2 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 44th of 51

$2,455

AK $7,762DE $1,862

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.